CHA-IHA Medical Devices Conference
Pursuit of Value for Medical Devices
Strategies for Collaboration
May 21-22, 2008
UC Irvine Beckman Center
Event Summary
The Integrated Healthcare Association (IHA) and California Hospital Association (CHA) sponsored this conference to bring together leaders from hospitals, medical technology firms, physician organizations, and health insurance plans to discuss ways to improve coordination and align incentives among the principle stakeholders in the technology-intensive cardiac, orthopedic, and spine care services. Meaningful opportunities exist for collaboration between hospital and medical device manufacturers in the redesign of services lines to promote efficiency and quality. All stakeholders have a strong vested interest in the improvement of clinical processes, supply chain management procedures, and reimbursement methods.
The conference combined plenary presentations from senior leaders in the hospital and medical device industry with panel discussions that included representatives from all the affected sectors. Breakout sessions focused on specific service lines, device safety, gain-sharing and incentive alignment, device registries, and the mitigation of financial conflicts of interest.
Agenda & Presentations
May 21 - Day One: Opening Plenary Session
Pursuing Value for Medical Devices - Hospitals and Manufacturers
James C. Robinson, PhD, Kaiser Permanente Distinguished Professor of Health Economics, UC Berkeley; Chair, IHA VAP Medical Devices Project, Berkeley, CA
Pursuit of Value for Medical Devices - Physician Preference Items
Barry Arbuckle, PhD, CEO, Memorial Health Services; Chair, California Hospital Association; Board member, IHA, Fountain Valley, CA
Pursuit of Value for Medical Devices - Strategies for Collaboration
Michael Mussallem, Chairman and CEO, Edwards Lifesciences; Board Chair, AdvaMed, Irvine, CA
Evaluating New Technologies in Orthopaedic Surgery: Stakeholder Perspectives Kevin J. Bozic, MD, MBA, Associate Professor in Residence, UCSF Dept of Orthopaedic Surgery and Institute for Health Policy Studies; Fellow of the American Academy of Orthopaedic Surgeons (AAOS), San Francisco, CA
Pursuit of Value for Medical Devices
David Joyner, Senior Vice President, Network Management, Blue Shield of California; Board Member, IHA, San Francisco, CA
Future of Orthopedics 2008: Optimal Approaches for Technology Management
Michael Koppenheffer, MBA, Executive Director, The Advisory Board Company, Washington, D.C.
May 22 - Day Two: Morning Plenary Session
Value Assessment and Purchasing for Medical Devices: The California Perspective
James C. Robinson, PhD, Kaiser Permanente Distinguished Professor of Health Economics, UC Berkeley; Chair, IHA VAP Medical Devices Project, Berkeley, CA
Best Practice Strategies for Managing Medical Devices: CA Perspective
Thomas Lafferty, Senior Vice President, Aspen Healthcare Metrics, Englewood, CO
Breakout Sessions
I. Orthopedic Service Lines and Registries
Orthopedic Surgery Service Line: Managing Prosthetic Cost and Quality
Thomas Barber, MD, Chief, Department of Orthopaedics; Asst Physician-in-Chief, Kaiser Oakland, Orthopedic Surgeon, The Permanente Medical Group; Board Member, American Academy of Orthopaedic Surgeons (AAOS), Oakland, CA
Kaiser Permanente: National Total Joint Replacement Registry
Liz Paxton, Director of Surgical Outcomes and Analysis, Southern California Permanente Medical Group, Clinical Analysis, San Diego, CA
II. Comparative Efficacy & Evaluation for Devices
Comparative Effectiveness & Evaluation for Medical Devices
Jacob Drapkin, Vice President, Reimbursement & Healthcare Economics, Ethicon Endo-Surgery, Johnson & Johnson, Cincinnati, OH
Comparative Efficacy & Evaluation for Medical Devices - What is the Health Plan Point of View?
Fiona Wilmot, MD, MPH, Director of Medical Policy, Pharmacy & Therapeutics and Transplant, Blue Shield of California, San Francisco, CA
III. Aligning Financial Incentives
Aligning Financial Incentives
Lani Berman, MBA, MPH, Director of Surgical Services, Goodroe Healthcare Solutions, Norcross, GA
Aligning Financial Incentives - Future State
Tim Berkey, Principal, Premier Consulting Solutions, Premier, Inc., Charlotte, NC
IV. Cardiac Service Lines and Registries
NCDR Registries: The Present and the Future Role in Device Surveillance and Cardiac Service Line Quality Oversight
Ralph Brindis, MD, MPH, Regional Senior Advisor to Cardiovascular Diseases, Northern CA-Kaiser Permanente; Clinical Professor of Medicine, UCSF; Chief Medical Officer & Chairman, NCDR Management Board, ACC, Oakland, CA
Using Device Registries to Measure Quality
Jack Lewin, MD, Chief Executive Officer, American College of Cardiology, Washington, D.C.
V. Potential Conflicts of Interest
The Science and Psychology of Conflicts of Interest
Sohail K. Mirza, MD, MPH, Professor, Dept of Orthopedics and Sports Medicine and Dept of Neurological Surgery, University of Washington Harborview Medical Center, Seattle, WA
Potential Conflicts of Interest
Thomas P. Schmalzried, MD, Associate Director, Joint Replacement Institute at St. Vincent Medical Center; President, California Orthopaedics and Sports Medicine Associates; Fellow of the American Academy of Orthopaedic Surgeons, Los Angeles, CA
VI. Price Transparency
Price Transparency and Public Policy
Jeffrey Lerner, PhD, President and Chief Executive Officer, ECRI Institute, Plymouth Meeting, PA
Price Transparency: A Chronology
Stan Mendenhall, Editor-in-Chief, Orthopedic Network News; Mendenhall Associates, Inc., Ann Arbor, MI
Closing Plenary Session: Payment & Policy for Medical Devices
The Medicare Payment Perspective
Kathleen Hughes, MBA, Vice President, Avalere Health LLC, Washington, D.C.
Medical Devices: Value, Cost, and Health Reform
David Nexon, PhD, Senior Executive Vice President, AdvaMed, Washington, D.C